Ureteric Duplication is not a Contraindication for Robot-Assisted Laparoscopic Radical Cystoprostatectomy and Intracorporeal Studer Pouch Formation

The authors found that duplicated ureters was not a contraindication to robot-assisted laparoscopic radical cystoprostatectomy in this case

Beden Eğitimi ve Spor Yüksekokulu Öğrencilerinin Bilimsel Araştırma Öz Yeterliliklerinin Demografik Değişkenler Açısından İncelenmesi

Bu araştırmanın amacı Beden Eğitimi ve Spor Öğretmenliği ve Spor Yöneticiliği bölümlerinde öğrenim gören öğrencilerin bilimsel araştırma öz yeterliliklerini demografik değişenler açısından incelemektir. Bu amaç doğrultusunda 37 maddede ve 6 faktörden oluşan Bilimsel Araştırma Öz Yeterlilik ölçeği kullanılmıştır. Ölçeğe tümüne ait cronbach alpha güvenirlik katsayısı .95 iken faktörlerin güvenirlik katsayısı ise .92%253B .81%253B .89%253B .89%253B .88 ve .86tir. Ölçeğin ilgili boyutundan alınan yüksek puan katılımcının o boyuta ilişkin öz yeterliliğinin yüksek olduğu anlamına gelmektedir. Araştırmanın örneklemini Ardahan Üniversitesi Beden Eğitimi ve Spor Yüksekokulunun 2 farklı programında öğrenim gören 278 üniversite öğrencisi oluşturmaktadır. Araştırma sonucu elde edilen bulgular incelendiğinde, kadın öğrencilerle erkek öğrencilerin bilimsel araştırma öz yeterlilik arasında istatistikî olarak anlamlı bir fark bulunduğu bu farkında kadın öğrenciler lehine olduğu sonucu elde edilmiştir. Öğrencilerin sınıf düzeyi ile bilimsel araştırma öz yeterlilikleri arasındaki ilişki incelendiğinde 1 ve 3. sınıfta öğrenim gören öğrenciler arasında istatistikî olarak anlamlı fark bulunduğu bu farkında 3. sınıf öğrencileri lehine olduğu sonucu elde edilmiştir. Öğrencilerin sınıf düzeyleri açısından 3. sınıf öğrencileri lehine bu istatistikî farkın ortaya çıkmasında öğrencilerin 3. sınıfta bilimsel araştırma yöntemleri dersi almalarının etkili olduğu düşünülmektedir. Son olarak öğrencilerin öğrenim gördükleri bölüm ve branşlarının takım sporu veya bireysel spor olması durumu ile bilimsel araştırma öz yeterlilikleri arasında istatistikî açıdan anlamlı bir fark bulunmadığı sonucu elde edilmiştir

What if the Hand Piece Spring Disassembles During Robotic Radical Prostatectomy?

These authors report on the successful management of a disassembled hand piece spring during robotic radical prostatectomy

(1RS,2RS,3SR,5RS,7RS)-2,5-Dichloro-8-oxabicyclo­[5.1.0]octan-3-ol

In the title compound, C7H10Cl2O2, the seven-membered ring displays a chair conformation. In the crystal, the hy­droxy H atom is equally disordered over two orientations, and links with an adjacent mol­ecule via an O—H⋯O hydrogen bond in both cases. Weak inter­molecular C—H⋯O hydrogen bonding is also a feature of the crystal structure

Is Positron Emission Tomography Reliable to PredictPost-Chemotherapy Retroperitoneal Lymph NodeInvolvement in Advanced Germ Cell Tumors of theTestis?

PURPOSE: To evaluate if 18 fluorodeoxyglucose positron emission tomography(18FDG-PET) scan could identify post-chemotherapy retroperitoneal lymphnode (RPLN) involvement in advanced germ cell tumors of the testis.MATERIALS AND METHODS: Between January 2005 and January 2009, 16patients with advanced germ cell tumors of the testis underwent RPLNdissection (RPLND) following chemotherapy. Before RPLND, abdominalcomputed tomography (CT), magnetic resonance imaging (MRI), and18FDG-PET were performed in all the patients. Findings on 18FDG-PETwere compared with pathological evaluation of the removed lymphatic tissue.RESULTS: Both abdominal CT and MRI demonstrated retroperitonealmasses in all the patients following chemotherapy. Although PET did not demonstrate any activity in 8 patients, tumor was detected histopathologically.In 1 patient, 18FDG-PET demonstrated activity; however, no tumor wasdetected on pathology. Of the remaining 7 patients, 18FDG-PET findingswere concordant with the histopathological findings. No activity wasdetected in 2 patients with no tumors whereas all 5 patients harboring viabletumor cells showed positive 18FDG-PET activity. In our study, sensitivityand specificity of 18FDG-PET in detecting RPLN involvement were detectedto be 39% and 67%, respectively.CONCLUSION: 18FDG-PET imaging does not seem to be a reliable methodin detecting RPLN involvement in advanced germ cell tumors of the testisfollowing chemotherapy. Therefore, we neither recommend routine use of18FDG-PET scanning nor decide the treatment work-up by solely relying onthe 18FDG-PET findings in this patient group

Unusual presentation of eosinophilic fasciitis: two case reports and a review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Eosinophilic fasciitis is an uncommon disorder with unknown etiology and a poorly understood pathogenesis. We present the cases of two patients with eosinophilic fasciitis with unusual presentation, and describe the clinical characteristics and laboratory findings related to them.</p> <p>Case presentation</p> <p>The first case involves a 29-year-old Turkish man admitted with pain, edema and induration of his right-upper and left-lower limbs. Unilateral edema and stiffness with prominent pretibial edema was noted upon physical examination. A high eosinophil count was found on the peripheral smear. The second case involves a 63-year-old Turkish man who had pain, edema, erythema, and itching on his upper and lower extremities, which developed after strenuous physical activity. He had cervical lymphadenopathy and polyarthritis upon physical examination, and rheumatoid factor and antinuclear antibody upon laboratory examination.</p> <p>Conclusion</p> <p>Eosinophilic fasciitis can present with various symptoms. When patients exhibit eosinophilia, arthralgia and myalgia, eosinophilic fasciitis should be considered as a possible diagnosis.</p

Blood coagulation and beyond:Position paper from the Fourth Maastricht Consensus Conference on Thrombosis

The 4th Maastricht Consensus Conference on Thrombosis (MCCT), included the following themes: Theme 1: The coagulome as a critical driver of cardiovascular disease Blood coagulation proteins also play divergent roles in biology and pathophysiology, related to specific organs, including brain, heart, bone marrow and kidney. Four investigators shared their views on these organ-specific topics. Theme 2: Novel mechanisms of thrombosis Mechanisms linking factor XII to fibrin, including their structural and physical properties, contribute to thrombosis, which is also affected by variation in microbiome status. Virus infections associated-coagulopathies perturb the hemostatic balance resulting in thrombosis and/or bleeding. Theme 3: How to limit bleeding risks: insights from translational studies This theme included state of the art methodology for exploring the contribution of genetic determinants of a bleeding diathesis; determination of polymorphisms in genes that control the rate of metabolism by the liver of P2Y12 inhibitors, to improve safety of antithrombotic therapy. Novel reversal agents for direct oral anticoagulants are discussed. Theme 4: Hemostasis in extracorporeal systems: how to utilize ex vivo models? Perfusion flow chamber and nanotechnology developments are developed for studying bleeding and thrombosis tendencies. Vascularised organoids are utilized for disease modeling and drug development studies. Strategies for tackling extracorporeal membrane oxygenation (ECMO) associated coagulopathy are discussed. Theme 5: Clinical dilemmas in thrombosis and antithrombotic management Plenary presentations addressed controversial areas, ie thrombophilia testing, thrombosis risk assessment in hemophilia, novel antiplatelet strategies and clinically tested factor XI(a) inhibitors,both possibly with reduced bleeding risk. Finally, Covid-19 associated coagulopathy is revisited.</p

Study of relations between decision making, problem solving skills and communication with their coaches of football players in professional and amateur leagues

Bu araştırmanın amacı, amatör ve profesyonel erkek futbolcuların, karar verme, problem çözme ile iletişim becerileri arasındaki ilişkileri belirlemek, ayrıca yaş, eğitim durumu ve oynadıkları mevkilerin etkisinin olup olmadığını ortaya koymaktır. Çalışma evreni olarak Türkiye Futbol Federasyonuna bağlı profesyonel ve amatör spor kulüplerinde oynayan erkek futbolcular belirlenmiştir. Örneklem olarak ise Ankara Bölgesinde yer alan MKE Ankara Gücü, Gençler Birliği Spor Kulübü, Hacettepe Spor Kulübü, BUGSAŞ SK, Keçiören SK, Şekerspor SK, Ankara Demir SK, Kızılcahamam SK ve Keçiören SK profesyonel futbol takımları ile amatör liglerde futbol oynayan erkek futbolcular arasından tesadüfi seçim yöntemi kullanılarak seçilen 284 futbolcu gönüllü olarak katılmıştır. Araştırmada veri toplama araçları olarak; Problem Çözme Becerileri Ölçeği, Melbourne Karar Verme I-II Ölçeği ve Futbolda Antrenör İletişim Ölçeği kullanılmıştır. Araştırmadan elde edilen sonuçlara göre, amatör ve profesyonel erkek futbolcular arasında karar verme, problem çözme ve iletişim becerilerinin amatör futbolcuların lehine olduğu saptanmıştır. Amatör ve profesyonel erkek futbolcuların karar verme, problem çözme ve iletişim becerilerinin yaş gruplarına göre farklılaşmadığı, amatör ve profesyonel erkek futbolcuların karar verme, problem çözme ve iletişim becerilerinin eğitim durumlarına göre farklılaşmadığı ve amatör ve profesyonel erkek futbolcuların karar verme, problem çözme ve iletişim becerilerinin oynadıkları mevkilere göre farklılaşmadığı saptanmıştır.Aim of this study is to assess relations between decision making, problem solving skills and communication with their coaches of football players in professional and amateur leagues, also to introduce whether age, education background and playing positions of players have an effect on this relation. 284 individuals being football players in professional and amateur leagues at Turkish Football Federation Ankara region and are chosen by casual selection method have participated voluntarily to the study. In the study, Scale of Problem Solving Skills, Scale of Melbourne Decision Making I-II and Scale of Football Coach Communication have been used as data collection methods.Accoding to the fedingse of research, it has bean recognized that Decision- Making skills of amateur footballers is more than Professional footballers. There has not been meaningful difference betwean professional footballers and amateur in terms of problem- solving skills, and this finding has been considered for the subtitle of the a voided approach as it is considered in the aspects of ,Thaugful approach, Evaluated Approach, self-confident approach and planned approach, there has been a difference in faver of amateur footballers. It has bean recognized that the sears of amateur footballers in the scale of communication with trainers are more than professionals. It has bean recognized that 17-20 aged footballers have better scores than 26-30 aged in aspect of avoided approach's subtitles, when it is considered as panic approach, 17-20 aged footballers have better scares than 21-36 aged footballers communicating eith trainers for footballers age scales for 17-20 aged footballers is much more than 26-30 aged and generally younger group has better score than olders. Teher has not bean a meaningful difference between amateur's ande professional terms of educational level and problem-solving skills. But in ather subdimensions, there has been a difference between university graduation and high- school graduation. Footballers graduated from a University have scares than footballers graduated from a high school additionally, when it is considered as communicating with trainers, footballers graduated from a university have higher scores than athers. There is a negative correlation between problem solving ability of professional footballers. There has not been found a correlation between problem - solving ar decision making and communicating with a trainer. There is a negative correlation between communicating with a trainer and problemsolving ability of amateur footballers. It has not been found a meaningful correlation between decision making and problem salving abilities of amateur footballers